Institutional Aid Form Student ID* (i.e. A00123456)Name* First Last Phone*Email Select a Financial Aid Year* 2021-2022 Financial Aid Year (Fall 2021, Spring 2022, & Summer 2022) 2022-2023 Financial Aid Year (Fall 2022, Spring 2023, & Summer 2023) Fall Semester Credits*Please enter a number from 0 to 21.Spring Semester Credits*Please enter a number from 0 to 21.Summer Semester Credits*Please enter a number from 0 to 21.(If you are taking courses in Summer 1 and Summer 2, please add them together.)1. Are you receiving any tuition remission from Immaculata University?* Yes No If yes, what is the reason for the remission? Employee Benefit Employee Dependent Benefit IMH Congregation Member Relative of IHM Congregation Member employed by IU Relative of IHM Congregation Member not employed by IU International Sister Other Religious Order Discount Full-time Teacher/Administrator in a Catholic School 2. Are you receiving any tuition benefit from your employer?* Yes No If yes, how much? 3. Are you receiving any scholarships and/or grants from private donors during the academic year?* Yes No If yes, from whom and how much?Desired Financing Level I wish to be awarded my maximum eligibility for Federal Direct Student Loans. I wish to be awarded a specific amount of my Federal Direct Student Loans. The specific amount of Federal Direct Student Loans is $ By accepting these terms and conditions, I certify that all the information on this form is true and complete to the best of my knowledge. I understand that any changes to the information must be submitted in writing to the Office of Financial Aid.* I accept To electronically sign this document, please enter your date of birth.* MM slash DD slash YYYY CaptchaNameThis field is for validation purposes and should be left unchanged.
